MEDICARE: STEVEN ANTHONY HALE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	ME0033821	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1881636850
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN ANTHONY HALE M.D.

Provider Business Mailing Address
First Line	:	1136 GATLIN AVE
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32806-7142
Country	:	US
Telephone Number	:	407-859-5675
Fax Number	:

Provider Business Practice Location Address
First Line	:	6101 LAKE ELLENOR DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32809-4616
Country	:	US
Telephone Number	:	407-858-1430
Fax Number	:	407-858-5514

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/12/2006
Last Update Date	:	02/26/2018

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